HERMAPHRODITISM. 



699 



genital organs, there existed on the left side 

 a very distinct ovary, a round ligament which 

 ran outwards to the groin of the same side, 

 and a well-formed Fallopian tube with its 

 usual fimbriated extremity. The other extre- 

 mity of the Fallopian tube terminated in 

 the fundus of the uterus, which occupied its 

 usual situation between the bladder and rectum. 

 On the right side, again, there was a slender 

 elongated testicle, which had moved forwards 

 to the corresponding inguinal canal, but had 

 not proceeded so far as to pass out of the ab- 

 dominal cavity. On the superior part of the 

 testicle was a body resembling the epididymis, 

 and the testicle itself sent off two tubes, which 

 afterwards united into one immediately before 

 their insertion into the uterus. The external 

 genital organs were those of ahypospadic male, 

 and during life the person had been always 

 looked upon as belonging to the male sex. The 

 perinjeal canal or vagina terminated, between the 

 scrotum and root of the imperforate penis, in a 

 very small opening, which was common to it 

 and to the meatus urinarius. 



b. In 1 754,* a young person of about eighteen 

 years of age died in the Hotel Dieu of Paris ; 

 and in dissectinghis body, the anatomist, Varole, 

 found the reproductive organs malformed in the 

 following manner. On the right side the 

 scrotum contained a testicle, and the vas defe- 

 rens arising from it opened, not as usual into 

 the neck, but into the middle of the external 

 border of the corresponding vesicula seminalis. 

 On the left side the scrotum was empty ; and 

 internally on this side there were found an 

 ovary, a Fallopian tube with its fimbriated ex- 

 tremity, a small oval uterus without a neck and 

 somewhat flattened, and a broad and round 

 ligament, the last of which ran outwards, and 

 was lost in the cellular tissue of the left half of 

 the scrotum. The vesicula seminalis on the 

 right, and the imperfect uterus on the left side, 

 communicated by a canal of an inch and a half 

 in length. The external organs were male ; but 

 the penis was very small, had no corpus spongi- 

 osura, and was imperforate for half an inch at 

 its anterior extremity. The mammae were as 

 large as in women of the same age. The indi- 

 vidual had been regarded during life as a male. 



c. In 1825 the late Professor Rudolphif de- 

 tailed to the Academy of Sciences at Berlin 

 the case of an infant who was reported to have 

 died seven days after birth, and whose sexual 

 organs exhibited the following interesting in- 

 stance of lateral hermaphroditic conformation. 



Meckel (Reil's Archiv. Bd. xi. s. 322,) considers 

 Morand's and Lecat's as two different cases, and 

 points out that what is described as the male side 

 in the one, was the female in the other, and vice 

 versa. It is, perhaps, not unworthy of remark, that 

 in the coloured plate accompanying the translation 

 of Morand's case by Gautier, the male and female 

 sides have been reversed from an error in the en- 

 graving ; and this circumstance may have contribu- 

 ted to mislead Lecat in his description, provided he 

 happened to look to this notice of the case. 



* Mem. de la Soc. Med. de Paris, torn. iv. p. 

 342. 



t Abhandlung. Konig. Akad. dcrWissenschaft. zu 

 Berlin fur 1825/s. 60. 



On the left side were discovered an ovary 

 C/g.291, )> without a distinct broad ligament, 



Fig. 291. 



Fig. 292. 



-C 



Uterus (c) turned downwards and forwards to show 

 itt posterior turface and connections, Sfc. 



and a Fallopian tube (6), which communi- 



cated with the superior and left portion of an 



uterus (c). The left side 



of the scrotum (Jig. 292, 



a), was empty; the right 



(6) contained a testicle 



(fig.1\ ,rf) furnished with 



an epididymis (e) and tor- 



tuous vas deferens ( /"). 



Below the uterus there 



was a hard flattened ovoid 



body (fig. 291, g, and 



fig. 293, 6), which, when 



divided was found to 



consist of a cavity with 



thick parietes, and was 



considered by Rudolph! 



as the prostate gland in a rudimentary state. 



The mouth of the uterus jp- 393 



(fig. 293, a) terminated be- 



low in the parietes of this 



ovoid body, and on the 



right the vas deferens (rf) 



penetrated into its sub- 



stance, but without open- 



ing into its cavity. At the 



inferior part of the uterus 



there was a true vagina 



(fig. 293, c), which termi- 



nated in a cul-de-sac. The 



anus, rectum, and other 



organs were natural. The 



external sexual parts were 



male, 



External organs. 



Os uteri, vagina, 

 prostate, and cos 

 deferens. 



but the penis was divided inferiorly 

 , c). The testicle and ovary were sup- 

 plied with the two usual spermatic arteries 



%.tti,M} 



d. Under the present section of lateral herma- 

 phroditism, we may also, according to Mayer's 

 report, include the celebrated case of Marie 

 Derrier, or Charles Doerge.* This person was 

 baptised and brought up as a female, but at 

 forty years of age was persuaded to change his 

 name and dress to those of a man. We have 

 already alluded to the great diversity of opinion 

 which was entertained by the medical men of 



* Gazette Med. de Paris (1836), no. 39. Lancet, 

 v. i. for 1836-7, p. 140; or London Medical Ga- 

 rette for October 29, 1836. 



